rvallee
Senior Member (Voting Rights)
Posting mainly because it seems to be an official thing, funded by the CIHR. Looks OK, only question is whether it will sit on shelves.
Care Models for Long COVID
https://sporevidencealliance.ca/wp-...e-Models-for-Long-COVID_Update_2021.12.04.pdf
Health care is provincial in Canada. So I'm not sure how this can be made actionable. It's really a mess here for this. In the end health care services are local and don't see beyond their borders, only obvious and immediate problems.
Care Models for Long COVID
https://sporevidencealliance.ca/wp-...e-Models-for-Long-COVID_Update_2021.12.04.pdf
Context. It is estimated that up to 500K Canadian had or are living with Long COVID resulting in debilitating sequelae and disabilities that impact their quality of life and capacity to return to work or school. A new care model is needed for persons living with this complex and multi-systemic disease.
Objectives. To update the best-available evidence about care models for people living with Long COVID.
Design. Update of a living systematic review.
Method. We systematically searched nine electronic databases on October 5th and 7th 2021. Two independent reviewers screened titles, abstracts and full text. We included studies reporting on 1) people living with Long COVID and 2) proposing a specific care model. We extracted characteristic of studies, reporting of the care model implementation with the number of patients, clinical settings of care model, healthcare professions included in the care model, care model principles and care model components.
Results. In this update, we screened 1201 additional citations, read 65 full text and included 8 eligible articles reporting on international care models for Long COVID. The four main interfaces of our proposed patient pathway remain: coordination units to centrally receive referrals from both hospitalized and community-based patients, training of primary care teams to screen and support medical needs, integrated local multidisciplinary rehabilitation services and access to medical specialty clinics for advanced testing and diagnoses. We observe consistency for care model principles such as multidisciplinary teams and integrated care, and components such as standardized symptoms assessment and virtual care. The impact and costs of these care models are not yet reported.
Conclusion. Combining international evidence, contextualized Canadian initiatives and patient perspectives, a national public health initiative may be advisable to ensure sustainable support of provincial teams in their quest to support patients with Long COVID. This represents a unique opportunity to improve quality of care for all patients with complex chronic diseases in Canada.
Objectives. To update the best-available evidence about care models for people living with Long COVID.
Design. Update of a living systematic review.
Method. We systematically searched nine electronic databases on October 5th and 7th 2021. Two independent reviewers screened titles, abstracts and full text. We included studies reporting on 1) people living with Long COVID and 2) proposing a specific care model. We extracted characteristic of studies, reporting of the care model implementation with the number of patients, clinical settings of care model, healthcare professions included in the care model, care model principles and care model components.
Results. In this update, we screened 1201 additional citations, read 65 full text and included 8 eligible articles reporting on international care models for Long COVID. The four main interfaces of our proposed patient pathway remain: coordination units to centrally receive referrals from both hospitalized and community-based patients, training of primary care teams to screen and support medical needs, integrated local multidisciplinary rehabilitation services and access to medical specialty clinics for advanced testing and diagnoses. We observe consistency for care model principles such as multidisciplinary teams and integrated care, and components such as standardized symptoms assessment and virtual care. The impact and costs of these care models are not yet reported.
Conclusion. Combining international evidence, contextualized Canadian initiatives and patient perspectives, a national public health initiative may be advisable to ensure sustainable support of provincial teams in their quest to support patients with Long COVID. This represents a unique opportunity to improve quality of care for all patients with complex chronic diseases in Canada.
Health care is provincial in Canada. So I'm not sure how this can be made actionable. It's really a mess here for this. In the end health care services are local and don't see beyond their borders, only obvious and immediate problems.
